Abstract
An outbreak of nosocomial urinary-tract infection was caused by a strain of Proteus rettgeri that fermented lactose overnight and was resistant to all antimicrobial drugs tested. The nonmotile isolates shared an O (somatic) antigen that differed from those of wild-type P. rettgeri. The organisms proved markedly serum-sensitive. In rats, the isolates elicited an acute interstitial nephritis with associated transient bacteriuria. Attempts to transfer the lac(+) trait and drug-resistance markers to recipient strains of Escherichia coli K-12 failed; exposure of the isolates to acridine orange yielded small numbers of non-lactose-fermenting variants which, however, were still as drug-resistant as before. Epidemiological studies failed to uncover the source of this unique strain and appeared to indicate exogenous spread of infection.
MeSH Terms
Acridines
Agglutination Tests
Animals
Anti-Bacterial Agents/pharmacology
Antigens, Viral/analysis
Bacteriological Techniques
Bacteriuria/microbiology
Blood Bactericidal Activity
Conjugation, Genetic
Cross Infection/etiology,microbiology
Disease Outbreaks/microbiology
Disease Reservoirs
Drug Resistance, Microbial
Female
Fermentation
Genetic Variation
Genetics, Microbial
Hemagglutination Tests
Humans
Immune Sera
Lactose/metabolism
Microbial Sensitivity Tests
Mutagens
Proteus/drug effects,immunology,isolation & purification,metabolism,pathogenicity
Proteus Infections/etiology,microbiology
Rabbits
Rats
Urinary Tract Infections/etiology,microbiology
Chemicals
Acridines
Anti-Bacterial Agents
Antigens, Viral
Immune Sera
Mutagens
Lactose
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Traub W H
Craddock M E
Raymond E A
Fox M
McCall C E
References (30)
30 references, click to expand
-
Identification of Enterobacteriaceae in the clinical microbiology laboratory.
Appl Microbiol. 1970 Sep;20(3):303-8
PMID: 4922151
-
Biochemical classification of Proteus and Providence cultures.
J Gen Microbiol. 1955 Aug;13(1):155-61
PMID: 13252224
-
Susceptibility of Pseudomonas aeruginosa to gentamicin sulfate in vitro: lack of correlation between disc diffusion and broth dilution sensitivity data.
Appl Microbiol. 1970 Jul;20(1):98-102
PMID: 4989673
-
Biochemical investigation of Providence strains and their relationship to the Proteus group.
J Hyg (Lond). 1954 Mar;52(1):1-8
PMID: 13152359
-
Contamination of commercially packaged urinary catheter kits with the pseudomonad EO-1.
N Engl J Med. 1970 Jan 1;282(1):33-5
PMID: 4901384
-
Use of gentamicin in combinations with other antibiotics.
J Infect Dis. 1969 Apr-May;119(4):370-7
PMID: 4306973
-
Inactivation of the bactericidal activity of human serum by liquoid (sodium polyanetholsulfonate).
Appl Microbiol. 1969 Jun;17(6):839-42
PMID: 4894722
-
Studies on the interaction between serum bactericidal activity and antibiotics in vitro.
Chemotherapy. 1970;15(2):70-83
PMID: 4314768
-
Hospital infection of the urinary tract with Proteus; a clinical-bacteriologic study with special reference to modes of infection.
Acta Pathol Microbiol Scand. 1958;43(1):93-105
PMID: 13532721
-
Biochemical characteristics of lactose-fermenting Proteus rettgeri from clinical specimens.
J Bacteriol. 1962 Apr;83:933-5
PMID: 13918554
-
Antibiotic susceptibility testing by a standardized single disk method.
Am J Clin Pathol. 1966 Apr;45(4):493-6
PMID: 5325707
-
Isolation of an antibiotic-resistant, lactose-fermenting strain of Proteus rettgeri.
Experientia. 1970 Apr 15;26(4):437-8
PMID: 4314780
-
BACTERIOLOGICAL COMPLICATIONS FROM THE USE OF URETHRAL INSTRUMENTS: PRINCIPLES OF PREVENTION.
J Clin Pathol. 1964 Sep;17:492-7
PMID: 14207780
-
The enterobacterial hemagglutination test and its diagnostic potentialities.
Can J Microbiol. 1956 May;2(3):232-44
PMID: 13316617
-
Characterization of a transfer factor associated with drug resistance in Salmonella typhimurium.
Nature. 1965 Nov 27;208(5013):843-9
PMID: 5331112
-
The Biochemical and Serological Relationships of the Organisms of the Genus Proteus.
J Bacteriol. 1945 May;49(5):419-36
PMID: 16560935
-
Rat pyelonephritis model suitable for primary or secondary screening.
Appl Microbiol. 1969 Sep;18(3):448-51
PMID: 4907006
-
Microtiter bacterial hemagglutination technique for detection of Shigella antibodies.
J Bacteriol. 1966 Jan;91(1):463
PMID: 5903111
-
Proteus infections in hospital.
J Pathol Bacteriol. 1954 Jul;68(1):55-62
PMID: 13212555
-
Proteus mirabilis infections in a hospital nursery traced to a human carrier.
N Engl J Med. 1971 Jan 21;284(3):115-21
PMID: 5538678
-
HOSPITAL-ACQUIRED URINARY-TRACT INFECTIONS.
Ann Intern Med. 1964 May;60:903-14
PMID: 14156618
-
Infection and antibiotic usage at Boston City Hospital, January 1970.
Arch Intern Med. 1971 Mar;127(3):460-5
PMID: 5544315
-
Metabolic variations of Proteus in the Memphis area and other geographical areas.
Appl Microbiol. 1968 Jun;16(6):881-9
PMID: 5664111
-
Surveillance of nosocomial infections in community hospitals. I. Surveillance methods, effectiveness, and initial results.
J Infect Dis. 1969 Sep;120(3):305-17
PMID: 5822613
-
Urinary tract infection in a male urological ward; with special reference to the mode of infection.
Lancet. 1957 Jan 19;272(6960):115-9
PMID: 13399144
-
The causes of catheter-induced urinary infections and their prevention.
J Urol. 1969 May;101(5):757-60
PMID: 5780609
-
Proposed standard agglutinating sera for typhoid and paratyphoid A and B fevers.
Bull World Health Organ. 1954;10(6):919-26
PMID: 13199655
-
Susceptibility of Pseudomonas aeruginosa to carbenicillin.
Appl Microbiol. 1970 Oct;20(4):630-2
PMID: 5498614
-
Urinary tract infections: correlation between organisms obtained simultaneously from the urine and feces of patients with bacteriuria and pyuria.
J Urol. 1969 May;101(5):765-7
PMID: 4976354
-
Episome-mediated transfer of drug resistance in Enterobacteriaceae. II. Elimination of resistance factors with acridine dyes.
J Bacteriol. 1961 May;81:679-83
PMID: 13783345